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If you have questions
Questions concerning your Plan or your COBRA continuation coverage rights should be addressed to the contact or contacts identified
below. For more information about your rights under the Employee Retirement Income Security Act (ERISA), including COBRA, the
Patient Protection and Affordable Care Act, and other laws affecting group health plans, contact the nearest Regional or District Office
of the U.S. Department of Labor’s Employee Benefits Security Administration (EBSA) in your area or visit www.dol.gov/ebsa. (Addresses
and phone numbers of Regional and District EBSA Offices are available through EBSA’s website.) For more information about the
Marketplace, visit www.HealthCare.gov.
Keep your Plan informed of address changes
To protect your family’s rights, let the Plan Administrator know about any changes in the addresses of family members. You should also
keep a copy, for your records, of any notices you send to the Plan Administrator.
Plan contact information
Epicor Human Resource Department
804 Las Cimas Parkway, Austin, Texas 78746
800-999-1809
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The effective date of this Notice of Epicor Software Corp’s (“Epicor”) Health Information Privacy Practices (the “Notice”) is October 1, 2016.
Epicor Group Health Plan (the “Plan”) provides health benefits to eligible employees of Epicor (the “Company”) and their eligible
dependents as described in the summary plan description(s) for the Plan. The Plan creates, receives, uses, maintains and discloses health
information about participating employees and dependents in the course of providing these health benefits.
For ease of reference, in the remainder of this Notice, the words “you,” “your,” and “yours” refers to any individual with respect
to whom the Plan receives, creates or maintains Protected Health Information, including employees and COBRA qualified
beneficiaries, if any, and their respective dependents.
The Plan is required by law to take reasonable steps to protect your Protected Health Information from inappropriate use or disclosure.
Your “Protected Health Information” (PHI) is information about your past, present, or future physical or mental health condition,
the provision of health care to you, or the past, present, or future payment for health care provided to you, but only if the
information identifies you or there is a reasonable basis to believe that the information could be used to identify you. Protected
health information includes information of a person living or deceased (for a period of fifty years after the death.)
The Plan is required by law to provide notice to you of the Plan’s duties and privacy practices with respect to your PHI, and is doing so
through this Notice. This Notice describes the different ways in which the Plan uses and discloses PHI. It is not feasible in this Notice to
describe in detail all of the specific uses and disclosures the Plan may make of PHI, so this Notice describes all of the categories of uses
and disclosures of PHI that the Plan may make and, for most of those categories, gives examples of those uses and disclosures.
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